LOGAN MEMORIAL HOSPITAL LLC
NPI 1164604732
Internal Medicine in Russellville, KY

Q: What is Logan Memorial Hospital LLC's NPI number?

The NPI number for Logan Memorial Hospital LLC is 1164604732. It was assigned to this organization in the NPPES registry on December 5, 2007.

Q: What is Logan Memorial Hospital LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since December 05, 2007

1625 NASHVILLE ST, RUSSELLVILLE, KY 42276(270) 726-4011 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2025, Sep 9, 2019 (2 updates tracked since 2019).

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About Logan Memorial Hospital Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGAN MEMORIAL HOSPITAL LLC (NPI 1164604732) is a healthcare organization registered as an internal medicine in Russellville, Kentucky and active in the NPI registry since December 2007. The organization lists Johnetta Traylor, Ao, as its authorized official.

NPPES Registry Identity

NPI1164604732

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameLOGAN MEMORIAL HOSPITAL LLC

Location Address1625 NASHVILLE STRussellville, KY 42276-8853

Mailing Address680 S 4th St # Kh-3Louisville, KY 40202-2407 · (502) 596-6063

Phone(270) 726-4011

Organization SubpartNo

Authorized OfficialJohnetta TraylorAo · (502) 596-6063

Enumeration DateDecember 5, 2007

Last NPPES UpdateJune 24, 20252 updates tracked since enumeration

NPPES CertifiedJune 24, 2025

✔ NPI 1164604732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedEmergency MedicineTaxonomy 207P00000X

Also ListedRadiology · Body ImagingTaxonomy 2085B0100X

Also ListedRadiology · Diagnostic NeuroimagingTaxonomy 2085D0003X

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

1625 NASHVILLE ST, Russellville, KY 42276

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON GUNDERSON RDN

Dietitian, Registered